Surgery for inguinal hernia in pediatric age

Abstract

Inguinal hernia repair is one of the most frequently performed surgical procedures in pediatric patients. An inguinal hernia does not resolve spontaneously and must be repaired because of high risk of complications. A retrospective analysis was performed on the hospital records including operative notes of admitted pediatric patients, aged up to 12 years, who underwent inguinal herniotomy. On observation, male affect more than female , right side inguinal hernia more common than left, due to let decent of testis on right side. Early detection and repair of inguinal hernia in pediatric is essential to decrease the potential morbidity and operative complications rate. This needs an increase in popular and pediatric awareness. [Int J Res Med Sci 2013; 1(2.000): 112-115

Pattern and prevalence of hernia in child at Bahri Teaching Hospital 2013 – 2015

“…Early surgical treatment for different type of hernia is recommended to reduce the complications. All inguinal hernia for surgical repair, but umbilical hernia need close follow up and surgical repair if large defect > 1.5 cm, age more than 5 years or get complicated [3]. To increase the awareness of population about hernia.…”

“…Regarding age distribution, approximately 59.6% of patients were from age group 1-5 years, which shows that the majority of hernias appears early in life, the fact that should raise the attention of people, parents, pediatrician and surgeon about this common and easily managed condition if treated at earlier time i.e. before obstruction, strangulation or incarceration [3].As incidence of incarceration of inguinal hernia about 16% [10]. Regarding the sex of the patients; 263 (83.8%) are males and 51 (16.2%) are females with male: female ratio 5:1.…”

“…Regarding the sex of the patients; 263 (83.8%) are males and 51 (16.2%) are females with male: female ratio 5:1. Female patients reported two cases of incarcerated hernia, which is rare but female inguinal hernia could containing ovary and fallopian tube in the hernial sac, that's why we must take the hernias in females seriously and should be treated by an early to prevent the subsequent complications like thrombosis and gangrene and during operation be careful not to injure it [3].The issue of hernia incarceration is its frequency, especially increased in the neonatal population; the increased morbidity of operation in part related to its necessary urgency; the potential for permanent injury to the entrapped incarcerated organ; less optimal operative outcomes with potential vas and vessel injury; and treatment outcomes with greater recurrence rates. Approximately (1-4%) of children has inguinal hernia [5].…”

“…Hernias represent one of the most frequent surgically correctable problems in children and one of the most common procedures performed by a pediatric surgeon [1][2][3][4][5][6]. Inguinal and umbilical hernias together combine to account for more than 90 percent of all hernias seen in our practice [7].…”

Management of Inguinal Hernia in Children

“…In the Nassiri's study 127 (24.3%) were up to 12 months of age and 394 (75.7%) patients were greater than 12 months old. 20,21 Long term follow up these patients in needed, but follow up in our setup is a real issue. To overcome this issue in the beginning, proper counseling of the parents is necessary.…”